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In a leukemic patient, bleeding does not stop because:

 # In a leukemic patient, bleeding does not stop because:
A. Decreased platelet count 
B. Increased WBC count
C. Decreased calcium level
D. Decrease in coagulation level


The correct answer is A. Decreased Platelet Count

The sign and symptoms of acute leukemia result from either bone marrow suppression or infiltration
of leukemic cells into organs tissues. These changes cause anemia, thrombocytopenia and a decrease in
neutrophils. Thrombocytopenia causes spontaneous bleeding such as petechiae, ecchymoses, epistaxis,
melena. It may necessary to perform surgery on patients with platelet counts in the range of 25,000
because of the difficulty in achieving platelet levels due to circulating platelet antibodies.


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